Benjain A Beristain
Individual provider Active NPI Registered Nurse · Flossmoor, IL
NPI 1285282178 · NPPES record last updated Sep 3, 2019
Key facts
- NPI
- 1285282178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.481623 (IL)
- Practice address
- 3015 Harolds Cres
Flossmoor, IL 60422-2009 - Phone
- (708) 420-6057
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.481623 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bottles to Spoons, Inc. | Registered Nurse | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.481623 | IL | Yes |
Addresses
Primary practice location
3015 Harolds Cres
Flossmoor, IL 60422-2009
Mailing address
5217 W Cornelia Ave
Chicago, IL 60641-3305
Phone (773) 908-3219
Other providers in Flossmoor, IL
- Jennifer Beckham
- Lindsey Beham
- Behavior Momentum Intervention
- Janetta Bell
- Belle Lueur Wellness Spa LLC
- Robert Allen Berquist
- Sharon Blackmon
- Marcus Boatman
- Christopher L Bottger
- Bottles to Spoons, Inc.
All providers in Flossmoor, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.